ArticleBMC emergency medicine2022
Capillary refill time for the management of acute circulatory failure: a survey among pediatric and adult intensivists.
Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07054151 (Clinical Predictors of Capillary Refill Time and Their Association With Triage Categories From the Emergency Department Perspective), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Clinical Predictors of Capillary Refill Time and Their Association With Triage Categories From the Emergency Department Perspective: A Cross-Sectional Study
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic value of capillary refill time in adult patients: a systematic review with meta-analysis.Critical care (London, England) · 2023Pooled it
- The use of capillary refill time In adult critically ill patients: a narrative review on potentials, pitfalls, and perspectives.Journal of clinical monitoring and computing · 2026Review
- Peripheral perfusion noninvasive monitoring technologies - a literature and patent review.Journal of clinical monitoring and computing · 2026Review
- Reconsidering arm positioning during pediatric general anesthesia based on natural sleep posture.JA clinical reports · 2026Article
- Capillary refill time as a bedside perfusion indicator: associations with vital signs and triage acuity in the emergency department: a cross-sectional study.BMC emergency medicine · 2025Observational
- DiCARTJournal of clinical monitoring and computing · 2025Article
- The intricate relationship between capillary refill time and systemic hemodynamics in septic shock.Annals of intensive care · 2025Review
- Gingival capillary refill time: a new approach to assess tissue perfusion.Critical care (London, England) · 2025Article
- Article
- Research Progress on the Measurement Methods and Clinical Significance of Capillary Refill Time.Sensors (Basel, Switzerland) · 2024Review
- [Intraoperative hypotension in children-Measurement and treatment].Die Anaesthesiologie · 2024Article
- Comparison between Capillary and Serum Lactate Levels in Predicting Short-Term Mortality of Septic Patients at the Emergency Department.International journal of molecular sciences · 2023Observational
- Agreement between Capillary Refill Time measured at Finger and Earlobe sites in different positions: a pilot prospective study on healthy volunteers.BMC anesthesiology · 2023Observational
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRecent studies have shown the prognostic value of capillary refill time (CRT) and suggested that resuscitation management guided by CRT may reduce morbidity and mortality in patients with septic shock. However, little is known about the current use of CRT in routine clinical practice. This study aimed to assess the modalities of CRT use among French adult and pediatric intensivists.
methodsA cross-sectional survey exploring CRT practices in acute circulatory failure was performed. The targeted population was French adult and pediatric intensivists (SFAR and GFRUP networks). An individual invitation letter including a survey of 32 questions was emailed twice. Descriptive and analytical statistics were performed.
resultsAmong the 6071 physicians who received the letter, 418 (7%) completed the survey. Among all respondents, 82% reported using CRT in routine clinical practice, mainly to diagnose acute circulatory failure, but 45% did not think CRT had any prognostic value. Perfusion goal-directed therapy based on CRT was viewed as likely to improve patient outcome by 37% of respondents. The measurement of CRT was not standardized as the use of a chronometer was rare (3%) and the average of multiple measurements rarely performed (46%). Compared to adult intensivists, pediatric intensivists used CRT more frequently (99% versus 76%) and were more confident in its diagnostic value and its ability to guide treatment.
conclusionCRT measurement is widely used by intensivists in patients with acute circulatory failure but most often in a non-standardized way. This may lead to a misunderstanding of CRT reliability and clinical usefulness.
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